Psychiatry Investig.  2017 Nov;14(6):801-807. 10.4306/pi.2017.14.6.801.

Association between Healthcare Utilization and Depression in Korean Women with Cardiovascular Conditions

• Park SJ
• Jang JW
• Kim AY
• Hong S
• Yuk B
• Min YW
• Park KA
• Park S

• KMID: 2402407
• DOI: http://doi.org/10.4306/pi.2017.14.6.801

Abstract

OBJECTIVE
This study aimed to examine the associations between depression and both coronary artery disease (CAD) and cardiovascular risk factors (CVRs) in Korean women. Furthermore, this study sought to determine whether depression was associated with use of healthcare services in women with CAD or CVRs.
METHODS
This cross-sectional study was conducted on 26,335 women who were aged 19 years or older, and who participated in the Korean National Health and Nutrition Examination Survey (2007-2014). Associations of prior diagnosis of depression with CAD and CVRs and with nonutilization of healthcare services were investigated.
RESULTS
Women with depression had a higher prevalence of CAD and CVRs including obesity, hypertension, dyslipidemia, and metabolic syndrome than those without depression. In addition, depression was significantly associated with nonutilization of healthcare services in women with most CVRs.
CONCLUSION
Considering the high rate of comorbid depression with CAD or CVRs and the low lvels of health service utilization in depressed patients, screening for common CVRs, such as obesity, hypertension, and dyslipidemia, should be provided for patients with depression in mental health care settings.

Keyword

Coronary artery disease; Cardiovascular risk factors; Depression; Healthcare utilization

MeSH Terms

Coronary Artery Disease
Cross-Sectional Studies
Delivery of Health Care*
Depression*
Diagnosis
Dyslipidemias
Female
Health Services
Humans
Hypertension
Mass Screening
Mental Health
Nutrition Surveys
Obesity
Prevalence
Risk Factors